Wegener Granulomatosis: Case Report of Facial Prosthetic Rehabilitation

Abstract

Wegener granulomatosis (WG) is a systemic, autoimmune disease histologically characterized by granulomatous vasculitis that affects the upper and lower aerodigestive tracts and glomerulonephritis. The purpose of this study was to restore the esthetic aspect of a saddle nose modified by WG. The clinical case is on a prosthetic rehabilitation in a 53-year-old woman with a severe nose deformity resulting from WG. The sculpture was made in accordance with the requests expressed by the patient and within the limits of the working area. A medical silicone, Silastic MDX-4-4210, was used to make the prosthesis in order to ensure adequate fitting and esthetic appearance. The rehabilitation provided by the maxillofacial prosthesis raised the patient's self-esteem and caused an improvement in life quality leading to the social reintegration. Dentists must be aware of oral signs such as strawberry gingivitis, which may arise early and is a pathognomonic sign of the disease. Maxillofacial prosthesis may be the only esthetic solution in cases of saddle nose due to in cases of WG.